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Does Mild Mitral And Tricuspid Regurgitation Need Medical Attention?

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Posted on Fri, 16 Dec 2016
Question: I've seen 4 cardiologist all who say I don't have diastolic dysfunction stage 1. But there's one who keeps insisting that I do because he makes no errors on the report. The others have seen report and done another echo and it doesn't show his results. He even called my heart unhealthy because I have a trivial/mild mitral leak and tr leak which only he saw and an extra 80 beats on my 24 hour holter which other cardiologists say is normal. He said he only calls a heart healthy if there are NO abnormalities. The others say my echo is normal and heart is healthy and just to keep an eye on leak. I'm so confused and scared. Stage 1 diastolic dysfunction is the scariest part.
doctor
Answered by Dr. Lilit Baghdasaryan (41 minutes later)
Brief Answer:
Diastolic dysfunction is not likely and mild mitral leak is not abnormality

Detailed Answer:
Dear Mrs,

Majority of healthy people have mild mitral and tricuspid regurgitation (leak), it is not an abnormality, it doesn't cause any harm.

About diastolic dysfunction I am not sure if it is really present. Nowadays it is frequently overdiagnosed. If you could attach the echo report, I could have a look to see if your doctor has evaluated diastolic dysfunction corectly based on European and XXXXXXX guidelines.

Grade I diastolic dysfunction is not dangerous, people live with it for decades without any complaints. But even for grade I diastolic dysfunction there should be an underlying disease, such as Arterial hypertension, diabetes mellitus, etc. As you have no other diseases, in your case diastolic dysfunction is not likely, and I tend to believe that you have a healthy heart.

Take care

Come back if you have any further questions


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Lilit Baghdasaryan (27 minutes later)
The first three is the doctor who scared me with dd. The third is the one i got from 2nd doc who said um fine. I dont understand why the 1st one says my heart is unhealthy due to it having a leak and DD, which i dont have a reason to have. Can a person live their whole lufe with stage 1 DD?
doctor
Answered by Dr. Lilit Baghdasaryan (2 hours later)
Brief Answer:
Welcome back

Detailed Answer:
A person can live with stage I diastolic dysfunction without complaints, but still I am not sure about diastolic dysfunction, there are no measurements to prove it. Was there another sheet of paper attached with measurements? If yes please, attach it as well.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Lilit Baghdasaryan (8 minutes later)
Just this one. He just called me to rub it in my face that he reviewed my echo and does see diastoli dysfunction but my main cardiologist and orners say i dont have it and he isnt reading it correctly. He is quite mean. I had a cardiologist who is a professor say i dont have it.
doctor
Answered by Dr. Lilit Baghdasaryan (7 minutes later)
Brief Answer:
Welcome back

Detailed Answer:
There is no measurement in your echo report to evaluate diastolic function. One should perform mitral inflow measurements and tissue Doppler analyses to evaluate diastolic function.
Once there is no measurements and considering your age and no underlying condition, I think there is no diastolic dysfunction.
So, don't worry. You have a healthy heart.

Take care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Lilit Baghdasaryan (1 minute later)
Thank you. It just has normal measurments. Thanks again.
doctor
Answered by Dr. Lilit Baghdasaryan (1 minute later)
Brief Answer:
You are always welcome

Detailed Answer:
Wishing you a good health
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Lilit Baghdasaryan

Cardiologist

Practicing since :2007

Answered : 1536 Questions

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Does Mild Mitral And Tricuspid Regurgitation Need Medical Attention?

Brief Answer: Diastolic dysfunction is not likely and mild mitral leak is not abnormality Detailed Answer: Dear Mrs, Majority of healthy people have mild mitral and tricuspid regurgitation (leak), it is not an abnormality, it doesn't cause any harm. About diastolic dysfunction I am not sure if it is really present. Nowadays it is frequently overdiagnosed. If you could attach the echo report, I could have a look to see if your doctor has evaluated diastolic dysfunction corectly based on European and XXXXXXX guidelines. Grade I diastolic dysfunction is not dangerous, people live with it for decades without any complaints. But even for grade I diastolic dysfunction there should be an underlying disease, such as Arterial hypertension, diabetes mellitus, etc. As you have no other diseases, in your case diastolic dysfunction is not likely, and I tend to believe that you have a healthy heart. Take care Come back if you have any further questions